The University of Alabama Brewer Porch Children’s Center (BPCC) Community Autism Intervention Program (CAIP) PRESCHOOL APPLICATION INFORMATION In order to apply for preschool services, children must be four years of age on or before September 2, 2015 and not be eligible for kindergarten (they cannot have turned 5 before September 2, 2015). A valid birth certificate or other document for age verification purposes must be provided. A limited number of spaces will be available in each classroom, and we anticipate serving 8-10 children without disabilities All applications for preschool must be returned to Brewer-Porch Children’s Center no later than Friday, July 10, 2015. Applications may be submitted in the main office of Brewer-Porch Children’s Center located at 2501 Woodland Road, Tuscaloosa, AL 35404, or submitted via mail to P. O. Box 870156, Tuscaloosa, AL 35487, or faxed to 205-348-9368. Parents of selected students will be invited to attend an information session the week of July 1416, 2015. This will consist both of a tour of the facilities as well as a brief, interactive evaluation with prospective students to determine their readiness to succeed in the program. Parents of students selected to attend preschool at BPCC will be contacted by phone or letter by July 24, 2015 to indicate readiness for participation in the program and to confirm their acceptance. Parents will need to verify participation in the program within three (3) days if contacted by phone or within seven (7) days of the postmark if contacted by mail. If parents fail to verify participation within the allotted time, the next name on the waiting list will be contacted to fill the slot. Eligible students for whom no spaces are available will be placed on a waiting list. In the event of a vacancy during the school year, the next name on the waiting list will be contacted using the procedures listed in the previous bullet. Parents must provide transportation to and from school. School Operation Hours: Monday – Friday 7:30 a.m. – 3:30 p.m. BPCC’s Preschool Academic and Holiday Calendar will correspond with the Tuscaloosa County School System’s Academic Calendar The cost for tuition is $400.00 per month. Fees are due on the first Monday of each month. The full monthly rate is due even if your child is absent for one or more days during the month. There will be no deductions due to sickness, absence or holidays. BPCC participates in The Alabama State Department of Education Child Nutrition Program. Unless students qualify for free or reduced price lunch (forms available at admission), lunch is not provided as part of the program. Students may bring their lunch from home or purchase lunch from the BPCC cafeteria. Meal prices are as follows: o Breakfast Reduced rate - $ o.30 (Application for school nutrition program required) Full Price - $ 1.25 o Lunch Reduced rate - $o.40 (Application for school nutrition program required) Full Price – $2.25 No one is discriminated against on the basis of race, color, national origin, or religion in any aspect of the program, admissions process, or services provided. Brewer-Porch Children’s Center (BPCC) Community Autism Intervention Program (CAIP) PRESCHOOL APPLICATION FORM 2015-2016 Name: _________________________________________________________________________ Last First Middle Name preferred: _____________________ Gender: ________ DOB: _________________ Parent(s)/Guardian(s): __________________________________________________________ Address: ________________________________________________________________________ __________________________ _________ City Zip Home Phone: _________________________ Mother’s Work Phone: ___________________ Cell Phone: ________________ Father’s Work Phone: ____________________ Cell Phone: ________________ Name of current preschool or daycare: ____________________________________________ Phone Number: __________________ Elementary School Zone: _______________________________________________________ My signature below affirms my understanding as the parent/guardian of ___________________ that he/she must be age four (4) on or before September 2, 2015 and will not be eligible for kindergarten (5 years old on or before September 2, 2015) to be considered for the Tuscaloosa County School System Preschool Program. The instructional day is 7:30 a.m. until 3:30 p.m. and parents will provide transportation. I further affirm and understand that the selection process will be based on applications submitted on or before July 10, 2015 to be considered for enrollment. __________________________________ ____________________________ Parent/Guardian signature Date FOR OFFICE USE ONLY Date received: ________________________ Received by: __________________________________ Number assigned: ___________________